Routine inspection·August 7, 2025

On 8/7/25 Licensing Program Analyst (LPA) J. Leffall arrived unannounced to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was allowed entry by Staff (S1) Kelly Gordon. Administrator Hripsime Makaryan was present at facility upon LPA’s arrival. 4 clients were present during inspection. LPA toured facility with staff. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. An adequate supply of perishable and non-perishable food was observed. Refrigerator temperature measured at 33 degrees F. Freezer temperature was measured at 0 degrees F. Cleaning chemicals was observed stored and locked closet next to entry door. Fire extinguisher was observed with a service date of: 6/2/25. Fire drill last completed on 6/2/25. Clients' bedrooms were toured and observed to be adequately furnished with bed, dresser, and adequate lighting. Inside bathroom toured and observed to be operational. LPA observed grab bars next to toilet and in shower. Side gate was self-closing and self-latching. Outside was observed with adequate outdoor seating and shaded area under patio. During medication and MARS review, LPAs observed Centrally Stored Medication and Destruction Record (CSMDR) was complete. Medications were checked and observed kept locked in closet in the kitchen. Carbon monoxide and smoke detectors were tested and observed to be operational. All clients’ files reviewed to have all the required documents. Samples of Staff files were reviewed and observed to have all the required documents. No deficiencies issued during this inspection. LPA is requesting the following documents be submitted to the Fresno CCL office by 8/21/2025: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Emergency and Disaster Plan, Personnel Report (LIC500), Register of Facility Clients/Residents LIC9020. An exit interview was conducted with Licensee. A copy of this report was provided to Administrator, whose signature on this form confirms receipt of these report.